Debby, Hi. It doesnt matter to me when it was written either and i think your right w/c will try to just get rid of me so i guess it doesnt matter when he wrote it. He did see me before surgery but never mentioned that i shouldnt have surgery if it was RSD. I think with the other injuries, especially a +EMG from a compressed nerve(the symptoms can be similar) they have to be ruled out before they call it RSD. My ortho didnt believe it was RSD until symptoms spread.